Pbm Jobs in Rhode Island (NOW HIRING)

Experience: * Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. * Since the job duties consist of reviewing and completing criteria based on prior authorizations ...

As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key compliance leader responsible for overseeing regulatory adherence and governance across Caremark's PBM ...

Experience in a PBM or health plan/insurer environment * Experience in litigation or dispute resolution * Experience managing and/or collaborating with outside counsel * Willingness to work hybrid (3 ...

Job#: 3045975 Senior Data Engineer Location: Remote Position Summary: * Supports the creation and operation of Big Data AI/machine learning solutions, using complex healthcare data to produce ...

Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards. * Provide clinical support for utilization management, prior-authorization criteria, and step ...

Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards. * Provide clinical support for utilization management, prior-authorization criteria, and step ...

You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with ...

RxClaim PBM experience will be good to have. Qualifications : Required : • 8+ years of overall IT experience including the following: • 8+ years with Strong AS400 development experience • 8+ ...

You will be responsible for drafting and negotiating prescription benefit management (PBM) contracts with CVS Health's health plan client. In this role you will actively advise internal partners on ...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build ...

Experience in a Managed Care or Pharmacy Benefit Management (PBM) environment is preferred. * Experience reviewing clinical information and making pharmacy benefit determinations is preferred.

Must Have Pharmacy Benefit Management (PBM) experience. Education: * Pharm D. required with at least two years' experience as a pharmacist in Managed care environment. * Must have an active license ...

Must Have Pharmacy Benefit Management (PBM) experience. Education: * Pharm D. required with at least two years experience as a pharmacist in Managed care environment. * Must have an active license in ...

Previous pharmacy experience in Medicare Part D, PBM, Prior Authorization is required. * Appropriate state license required. * Basic computer skills required. * Strong organizational skill ...

PBM Education: * Bachelor's degree in pharmacy or Pharm D. Must have an active license in the state of work. About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a ...

Experience: * 0-2 years of experience in customer service or call center environment managing high volume calls. * 6 months of experience working in PBM on managed care environments Skills: * Prior ...

Experience Previous experience in Managed Care/PBM environment (preferred). Education Bachelor's degree in pharmacy or Pharm D. required. Must have an active license in good standing in state of ...

Previous experience in Managed Care/PBM environment (preferred) Skillsets: * Prior Authorization * Pharmacy Benefit Management * Medicare Part D Education: Bachelor's degree in pharmacy or Pharm D ...

Experience Previous experience in Managed Care/PBM environment (preferred). Education Bachelor's degree in pharmacy or Pharm D. required. Must have an active license in good standing in state of ...

Required- 1+ years in Retail, LTC, Hospital or PBM pharmacy experience, or other pharmacist-to-provider consultation experience. * Preferred- Pharmacy knowledge, drug utilization review, excellent ...